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Individual

MR. JOSEPH BRIAN ROSAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
QMHA

Contact information

Practice address
4101 NE DIVISION ST STE 100, GRESHAM, OR 97030-4617
(503) 666-3808
Mailing address
4101 NE DIVISION ST STE 100, GRESHAM, OR 97030-4617
(503) 666-3808

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
04/15/2020
Last updated
04/15/2020
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